Individual
IZUMI MORIMOTO HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-0001
(818) 677-5663
Mailing address
301 BARTHE DR, APT. 6, PASADENA, CA 91103-2912
(626) 844-7945
(626) 844-7945
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07714
CA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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